Topic: Demography of Gilgit
Name :Arifullah
Class :Bs 7th Semester Pakistan Studies
RollNo:1810
Teacher Name :Ma’am Uzma Malik
Date:3/6/2021
KEY FACTS - DISTRICT GILGIT
Population 243,324
Area 4,208 Square Kilometer
Infant Mortality Rate 45.9 per thousand live births
Under five year Mortality Rate 54 per thousand live births
Unmet Need 21.5%
Public Sector facilities 44
Private health care provider 165
Public Outreach Program (LHW & CMW) 204
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Climate Culture & Heritage
The Climate of Gilgit varies from region to Gilgit is home to a number of diversified
regions. The mountain ranges creates sharp cultures, ethnic groups, languages and
variations in weather. The eastern part has various backgrounds. It is home to people
the moist zone of the western Himalayas, belonging to all regions of Gilgit as well as
but going towards Karakoram and Hindu from other cities of Pakistan and aboard. This
Kush the climate dries considerably. Gilgit is multitude of cultures is because of the
hot during the day in summer and where the strategic location of Gilgit. Being the
temperature is cold even during the winters. headquarters of the Gilgit-Baltistan almost of
At an altitude of 1,500 meters Gilgit has a the key offices are located in Gilgit.
climate with warm summers and cold Urdu and English are the official languages
winters. During the summer temperatures spoken while other languages include Pushto
above 30 degrees Celsius are uncommon. and Punjabi. Shina is the basic language
spoken by most of the original settlers.
Use of Family Planning
The inability of facilities to provide services was through contraceptive
availability, which was generally very low. Out of all the various types of public
sector facilities in Gilgit, 8 % of dispensaries, 22% of FWCs and 29% of public
hospitals reported availability of at least three methods. Only 5% of LHWs in
Gilgit reported having one or more than one contraceptive method available.
Lack of technical skills:36%
Stock out:37%
Lack of incentive:26%
Distance of Primary to Secondary/Tertiary Health Facility In
UC (IN KM) – Gilgit
Haramosh………2.4
Danyoure…………..3.4
Sai Bala………………6.4
Jalalabad………………..8.6
Sherot…………………….11.1
Rahimabad………………….12.9
Bagrote…………………………14.3
Nomal……………………………...16.3
Contraceptive Stock Availability
Stock availability for Stock availability for
private sector public sector
Condom 85% 20%
COC Pill 17% 10%
EC Pill
29% 8%
POP
DMPA (3-month injection 14% 10%
IUCD 30% 8%
8% 23%
Human Resource Availability
Human Resources BHU Dispensaries FWC
Dispensers/Technician 0% 42% 11%
s
Doctors (At Least 50% 8% 56%
MBBS qualified)
LHVs 100% 15% 56%
Midwives 0% 0% 11%
Nurses 0% 12% 33%
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IUCD insertion was the most offered specialized FP service; almost half of both
public and private sector facilities offering this service. Implant insertion/removal
and female sterilization were also available in private sector in reasonable
numbers compared to negligible availability in public sector.
FP COUNSELING: All LHWs reported doing FP counseling. Most of the public
sector facilities were performing well in terms of FP counseling including public
hospitals, BHUs, CMWs, dispensaries and FWCs. However, only almost 30%
private clinics reported doing counseling.
FP Management Information System
Gilgit Almost 60% of the public sector facilities had paper based MIS available. Contraceptive
client record was maintained in only almost two thirds of facilities.
ANTENATAL CARE SERVICES :The situation in Gilgit is almost universal availability of ANC
services Fifty percent of the private sector were also providing ANC services.
Recommendations
Policy should be formulated to systematically involve private sector.
The existing facilities should be expanded to rural and hard areas.
Government should work with private sector to develop a roadmap towards
universal FP services to provision of subsidies contraceptives commodities and
build technical and counselling skills.
Lack of contraceptive availability at public sector facilities supply chain
strengthening needs to be done; with allocation and timely procurement of
contraceptives.
The government needs to consider providing all modern methods and specialized
FP services at all primary facilities in order to improve the Fp.